Glasgow Coma Scale: Difference between revisions

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* I have a data processing question. In [[CCMDB.mdb]] the options are numbered with verbal '''worsening''' from 1 to 5, whereas Motor and Verbal '''improve''' from 1 upwards. The data is also stored and output that way. I seem to remember having brought this up in the past, and I think by the time it hits Julie all is compensated for, but this should probably be confirmed and then documented. [[User:Ttenbergen|Ttenbergen]] 15:27, 18 June 2009 (CDT)

** Julie/Pagasa/Trish, could you please address the above question? Debbie asked me about this again yesterday, and it is an irregularity that should really be documented. Thanks! [[User:Ttenbergen|Ttenbergen]] 11:28, 27 July 2010 (CDT)

***The numbers prior to the verbal items do not correspond to the score. If you will notice the downlist for VERBAL have 8 items - 5 items for Non-ventilated and 3 items for Ventilated. The corresponding score for the 8 items are tabulated in the above table. The total GCS is computed based on the scoring table above and not based on the order it was listed in the CCMDB.mdb. The score 5 is assigned to 'Oriented or Appears oriented' while score 1 is for 'No response'. Just like you, I noticed the inconsistencies in the order and score of VERBAL as compared to the EYE and MOTOR. I think the reason VERBAL is handled differently is because it has 8 items which the master database program assigns into 5 scores. If CCMDB.mdb will change the format of the 8 items, then the master database program needs to be changed too (which we don't want to do anymore) and I ~~think~~ that was the reason why Tina used the same format even if they looked confusing and inconsistent with the EYE and MOTOR. [[User:JMojica|JMojica]] 12:26, 27 July 2010 (CDT)

***The numbers prior to the verbal items do not correspond to the score. If you will notice, the downlist for VERBAL in the CCMDB.mdb have 8 items - 5 items for Non-ventilated and 3 items for Ventilated. The corresponding score for the 8 items are tabulated in the above table. The total GCS is computed based on the scoring table above and not based on the order it was listed in the CCMDB.mdb. The score 5 is assigned to 'Oriented or Appears oriented' while score 1 is for 'No response'. Just like you, I noticed the inconsistencies in the order and score of VERBAL as compared to the EYE and MOTOR. I think the reason VERBAL is handled differently is because it has 8 items which the master database program assigns into 5 scores. If CCMDB.mdb will change the format of the 8 items, then the master database program needs to be changed too (which we don't want to do anymore) and I supposed that was the reason why Tina still used the same format even if they looked confusing and inconsistent with the EYE and MOTOR. [[User:JMojica|JMojica]] 12:26, 27 July 2010 (CDT)

[[Category:APACHE II Physiological Variables]]

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 * I have a data processing question. In [[CCMDB.mdb]] the options are numbered with verbal '''worsening''' from 1 to 5, whereas Motor and Verbal '''improve''' from 1 upwards. The data is also stored and output that way. I seem to remember having brought this up in the past, and I think by the time it hits Julie all is compensated for, but this should probably be confirmed and then documented.  [[User:Ttenbergen|Ttenbergen]] 15:27, 18 June 2009 (CDT)
 ** Julie/Pagasa/Trish, could you please address the above question? Debbie asked me about this again yesterday, and it is an irregularity that should really be documented. Thanks! [[User:Ttenbergen|Ttenbergen]] 11:28, 27 July 2010 (CDT)
-***The numbers prior to the verbal items do not correspond to the score.  If you will notice the downlist for VERBAL have 8 items - 5 items for Non-ventilated and 3 items for Ventilated. The corresponding score for the 8 items are tabulated in the above table. The total GCS is computed based on the scoring table above and not based on the order it was listed in the CCMDB.mdb. The score 5 is assigned to 'Oriented or Appears oriented' while score 1 is for 'No response'.  Just like you, I noticed the inconsistencies in the order and score of VERBAL as compared to the EYE and MOTOR.  I think the reason VERBAL is handled differently is because it has 8 items which the master database program assigns into 5 scores. If CCMDB.mdb will change the format  of the 8 items, then the master database program needs to be changed too (which we don't want to do anymore) and I think that was the reason why Tina used the same format  even if they looked confusing and inconsistent with the EYE and MOTOR.  [[User:JMojica|JMojica]] 12:26, 27 July 2010 (CDT)
+***The numbers prior to the verbal items do not correspond to the score.  If you will notice, the downlist for VERBAL in the CCMDB.mdb  have 8 items - 5 items for Non-ventilated and 3 items for Ventilated. The corresponding score for the 8 items are tabulated in the above table. The total GCS is computed based on the scoring table above and not based on the order it was listed in the CCMDB.mdb. The score 5 is assigned to 'Oriented or Appears oriented' while score 1 is for 'No response'.  Just like you, I noticed the inconsistencies in the order and score of VERBAL as compared to the EYE and MOTOR.  I think the reason VERBAL is handled differently is because it has 8 items which the master database program assigns into 5 scores. If CCMDB.mdb will change the format  of the 8 items, then the master database program needs to be changed too (which we don't want to do anymore) and I supposed that was the reason why Tina still used the same format  even if they looked confusing and inconsistent with the EYE and MOTOR.  [[User:JMojica|JMojica]] 12:26, 27 July 2010 (CDT)
 [[Category:APACHE II Physiological Variables]]